ArticleScandinavian journal of primary health care2011
ENT problems in Dutch children: trends in incidence rates, antibiotic prescribing and referrals 2002-2008.
Article in Scandinavian journal of primary health care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 60 citations in OpenAlex.
- Observational
- Therapeutic Applications for Homeopathy in Clinical Practice.Advances in therapy · 2025Review
- Trends and patterns in urgent pediatric otolaryngology inter-hospital referrals in Saudi Arabia.Saudi medical journal · 2022Article
- New Approaches and Technologies to Improve Accuracy of Acute Otitis Media Diagnosis.Diagnostics (Basel, Switzerland) · 2021Review
- Development of video otoscopy quiz using a smartphone adaptable otoscope.Journal of otology · 2021Article
- Risk of Postoperative Bleeding in Tonsillectomy for Peritonsillar Abscess, as Opposed to in Recurrent and Chronic Tonsillitis-A Retrospective Study.International journal of environmental research and public health · 2021Article
- Common Cold and Acute Rhinosinusitis: Up-to-Date Management in 2020.Current allergy and asthma reports · 2020Review
- Respiratory Symptoms in Post-infancy Children. A Dutch Pediatric Cohort Study.Frontiers in pediatrics · 2020Article
- Microbiological Results From Middle Ear Effusion in Pediatric Patients Receiving Ventilation Tube Insertion: Multicenter Registry Study on the Effectiveness of Ventilation Tube Insertion in Pediatric Patients With Chronic Otitis Media With Effusion: Part I.Clinical and experimental otorhinolaryngology · 2018Article
- Infectious disease burden and antibiotic prescribing in primary care in Israel.Annals of clinical microbiology and antimicrobials · 2018Article
- Impact of different assumptions on estimates of childhood diseases obtained from health care data: A retrospective cohort study.Pharmacoepidemiology and drug safety · 2018Article
- Incidence and economic burden of acute otitis media in children aged up to 5years in three Middle Eastern countries and Pakistan: A multinational, retrospective, observational study.Journal of epidemiology and global health · 2017Observational
- Effectiveness, safety and tolerability of a complex homeopathic medicinal product in the prevention of recurrent acute upper respiratory tract infections in children: a multicenter, open, comparative, randomized, controlled clinical trial.Multidisciplinary respiratory medicine · 2016Article
- Antibiotic Use in Children with Acute Respiratory or Ear Infections: Prospective Observational Comparison of Anthroposophic and Conventional Treatment under Routine Primary Care Conditions.Evidence-based complementary and alternative medicine : eCAM · 2014Article
- The otolaryngology, head and neck training appraisal questionnaire: a national general practice perspective.Irish journal of medical science · 2013Article
- Gatekeeping and referrals to cardiologists: general practitioners' views on interactive communications.Scandinavian journal of primary health care · 2013Article
- Burden of acute otitis media in primary care pediatrics in Italy: a secondary data analysis from the Pedianet database.BMC pediatrics · 2012Article
- Screening for hearing loss versus parental concern regarding hearing problems: Subsequent referral and treatment for otitis media in the Netherlands.Scandinavian journal of primary health care · 2012Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND. Ear, nose, and throat (ENT) problems are common in childhood and are important reasons to visit the general practitioner. OBJECTIVE. To examine trends in incidence rates, antibiotic prescribing, and referrals of five common ENT problems in children. DESIGN. Netherlands Information Network of General Practice (LINH), a nationally representative general practice database. Setting. A total of 50 000 children, aged 0-17 years, registered in Dutch general practice over the period 2002-2008. METHODS. Incidence rates were calculated and trends were analysed using linear regression analysis, with incidence rates per age group, proportion treated with antibiotics, and referrals as dependent variables and year of observation as independent variable. RESULTS. In general, incidence rates of acute otitis media, serous otitis, sinusitis, tonsillitis, and tonsil hypertrophy remained stable over the period 2002-2008. An increasing trend was observed for serous otitis media in children aged 0-4 years (RR = 1.04, p < 0.001). A decreasing trend was observed for sinusitis in children aged 5-11 and for tonsillitis in children aged 11-17 years (RR 0.99, p < 0.001 and RR 0.94, p < 0.001, respectively). Antibiotics were prescribed in 10-60% of the diagnoses. An increasing trend for antibiotic prescription was found for acute otitis media (beta = 0.07, p < 0.001), mainly on account of amoxicillin. Although antibiotic treatment of tonsillitis remained stable, pheneticillin prescriptions showed a downward trend (beta = -0.10, p < 0.001). First-choice antibiotics were prescribed in >80% of cases. CONCLUSIONS. This study showed remarkably stable trends in incidence rates, antibiotic prescribing, and referrals of common ENT problems. The low proportion of antibiotic treatment in ENT problems did not show negative consequences.
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